IPACHTE# / S- S- .NfP(, j Harnett County Department of Public Health 28583
hDrovement Permit
F
j rp t A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONS Ll
ISSUED TO r Arlt Wf 9(- SUBDIVISION SA C -e6- ry 7[2'r4V6 "1T -X W LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -rTVZA 1 Alf'o CiUbs S
Proposed Wastewater System Type: 25)aa i7fD000zf'%—
Projected Daily Flow: /00 GPD
Number of bedrooms: �_ N%umber Occupants: Ptma�e�S
Basement ❑Yes 71No
Pump Required: ❑Yes ❑ No �M e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Mee
❑ Well Distance from well het Permit valid for. IJP Five years
Permit conditions:
❑ No expiration
Authorized Sta Date: /1-3-t-5- SEE ATTACHED SITE SKETCH
The issuance of this permit Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject in revocation if the site plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Building Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the enriched system layout� /�
ISSUED TO: .e t7� PROPERTY LOCATION: V�u,_ 441 ,J
SUBDIVISION _'S 1Jt1s 11-7rz e / LOT #
facility Type: _( '! A's'+t) 13LJ3=-�K New ❑1 xpansion ❑ Repair
Basement? El Yes No Basement Fixtures? El Yes Q o
Type of Wastewater System** �' "� *- L(Initial) Wastewater Flow: fD0 GPD
(See note below, if applicable ❑) T
t�-�4n 2s%r�i�An1c.�7.r,_ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size poo gallons Exact length of each trench 60 feet Trench Spacing: Feet on Center
Pump Tank Size 10 n a gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: /81 a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDH vs. GPM
Conditions:
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: `L inches above pipe
/L inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type spewed is different from the type specified on the application. l accept the sped6cationr o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is sublets to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there h a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State A t: Date: /f - 3 - f s'
Construction Authorization Expiration Date:
HTE# 6' S' 3",,�'5 Permit # 2$S83
Harnett County Department of F' tblic Health
Site Sketch
PROPERTY LO(ATON: hk-24'-i0/
ISSUED T0: Aa�4n�,, SUBDIVISION.SOe.z_/. /G-: q LOT # 8
Authorized State A Date:
i3F fir
Tc � IuYr US
Ss
Cued Y l FYuvS/y
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SFS �
?/T % LoI
Us 14'11-11 No,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: Y"Zs r
Proposed Facility: 'ftDesign Flow ( 1949): K*a
Location of Site: Property Recorded:
Water Supply: �blic❑ Individual ❑ Well
Evaluation Method: 0 Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 13 -sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File 4:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(inI
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minenilogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
L , Z
L}'"
o- it
/
3
..
.3
FE
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) `Y Others Present:
Site LTAR